Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

FAIRBANKS DENTAL CENTER LLC
NPI 1831550631
Dentist in Fairbanks, AK

Q: What is Fairbanks Dental Center LLC's NPI number?

The NPI number for Fairbanks Dental Center LLC is 1831550631. It was assigned to this organization in the NPPES registry on March 8, 2016. The provider is doing business as Fairbanks Dental Center.

Q: What is Fairbanks Dental Center LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since March 08, 2016

3112 AIRPORT WAY, SUITE 1, FAIRBANKS, AK 99709(907) 452-1250(907) 456-1307 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 25, 2026, Nov 3, 2023, Jul 6, 2023 and 1 more (4 updates tracked since 2023).

On this page

About Fairbanks Dental Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRBANKS DENTAL CENTER LLC (NPI 1831550631), doing business as Fairbanks Dental Center, is a healthcare organization registered as a dentist in Fairbanks, Alaska and active in the NPI registry since March 2016. The organization lists Kristen Leigh Whetsell, Owner, as its authorized official.

NPPES Registry Identity

NPI1831550631

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameFAIRBANKS DENTAL CENTER LLC

Location Address3112 AIRPORT WAY, SUITE 1Fairbanks, AK 99709-4768

Mailing Address3112 Airport Way Ste 1Fairbanks, AK 99709-4768 · (907) 452-1250 · Fax (907) 456-1307

Phone(907) 452-1250

Fax(907) 456-1307

Organization SubpartNo

Authorized OfficialKristen Leigh WhetsellOwner · (907) 452-1250

Enumeration DateMarch 8, 2016

Last NPPES UpdateSeptember 25, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2026

✔ NPI 1831550631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X

Also ListedDentist · Orofacial PainTaxonomy 1223X2210X

Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X

3112 AIRPORT WAY, Fairbanks, AK 99709

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Other Names 1

Doing Business AsFairbanks Dental Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fairbanks Dental Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateAlaskaEnrollment IDO20161112000405DME · Oral Surgery - DentistDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Fairbanks Dental Center LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Michael Stoltz, DMD

Oral Surgery

NPI 1417074618

3112 AIRPORT WAY SUITE 1
Fairbanks, AK 99709

(907) 452-1250

✔ PECOSSame address

Kristen Whetsell, DDS

Oral Surgery

NPI 1710232707

3112 AIRPORT WAY STE 1
Fairbanks, AK 99709

(907) 452-1250

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairbanks Dental Center LLC's NPI number?

The NPI number for Fairbanks Dental Center LLC is 1831550631. It was assigned to this organization in the NPPES registry on March 8, 2016. The provider is doing business as Fairbanks Dental Center.

Where is Fairbanks Dental Center LLC located?

Fairbanks Dental Center LLC is located at 3112 Airport Way Suite 1, Fairbanks, AK 99709. The listed phone number is (907) 452-1250.

What is Fairbanks Dental Center LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Fairbanks Dental Center LLC enrolled in Medicare?

Yes. Fairbanks Dental Center LLC is registered in the Medicare PECOS enrollment system.

When is Fairbanks Dental Center LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Alaska, Oral Surgery - Dentist) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Fairbanks Dental Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Oral Surgery, reassign their Medicare billing to Fairbanks Dental Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fairbanks Dental Center LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Fairbanks Dental Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fairbanks Dental Center LLC was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.